Individual
DR. ALICIA K WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
914 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-3482
(425) 401-1147
(425) 484-6424
Mailing address
914 140TH AVE NE, SUITE 101, BELLEVUE, WA 98005-3482
(425) 401-1147
(425) 484-6424
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00009888
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5047436
—
WA
Enumeration date
07/12/2006
Last updated
02/20/2013
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